Medical Accounts Receivable Specialist - Palm Desert, United States - Desert Oasis Healthcare
Description
Works accounts receivable through contact with patients, insurance companies and contracted entities.- Monitors accounts receivable, making contact with payers to ensure prompt payment of claims. Meets or exceeds departmental standards for accounts receivable aging.
- Process payment plan arrangements for patient balances and cash patients. Forwards tracer claims to late payers as appropriate on a weekly basis.
- Review electronic billing reject reports and make necessary corrections to rectify identified errors. Rebill claims once corrected.
- Serve as primary point of contact for patient inquiries for assigned accounts.
- Handles all secondary insurance billing for assigned accounts.
- Review insurance denials and research reason for denial for assigned accounts. Make necessary corrections, if appropriate, and rebill corrected claim for assigned accounts.
- Collaborate with other departments and clients if additional information is needed to reconcile accounts.
- Handles mail and interoffice correspondence for assigned accounts.
- Researches, collects data and prepares patient and insurance refunds from reports.
- Posts appropriate payments and/or adjustments to reconcile accounts.
- Provides support to other members of the Billing Department as needed.
- Asses departmental systems, processes and workflows to identify opportunities for improvement and provide enhancement suggestions to department management.
- Other duties as assigned.
- High School diploma or equivalent.
- 2 years of medical accounts receivable/collections experience.
- 1 year of payment posting.
- Working knowledge of diagnosis and procedure coding systems. Medical terminology.
- Ability to work with computerized billing system and Windows based programs. 10 key calculator by touch.
- Valid California drivers license and proof of automobile insurance.
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